AND
n September 2021, Luis Ramírez, general director of Issste, acknowledged that – with the intermediation of the United Nations Office for Project Services – he had paid 8 billion pesos for the purchase of medicines and was waiting for the pharmaceutical companies to comply in order to normalize
the supply
Simultaneously, he communicated that in his tours of medical units in the country, strategies
for each of them, with a view to stabilize
Y dignify
the services in benefit
rights holders because, for more than 20 years, the federal administrations They left
to invest in infrastructure, resorting to subrogation of services. Even in Oaxaca, they set up private clinics to attend to the insured, in addition to hiring staff for remote places represents a great challenge ( Reform6/9/21).
He also reported that public universities, state health agencies, water agencies and municipalities owe him 68 billion pesos in fees and contributions from their employees: a problem I laughed
that grows like snowball
. Rectors and governors, she said, could getting closer
to the Issste to reach agreements. It even contemplates adding to the Federal Law of Responsibilities of Public Servants to punish
to those who use them for other purposes ( The Sun of Mexico9/9/21).
And so it happened. In October 2021, the Senate approved – for the Executive to promulgate – that states and municipalities that do not deliver their workers’ quotas to the Issste be sanctioned with temporary or permanent dismissal and with the payment of double the amount that they would have left. support the Institute. The approved minute introduces reforms to the Issste Law, the Federal Law of Workers in the Service of the State and the General Law of Administrative Responsibilities ( the day9/15/21).
According to Ramirez, are
financially sound: reduced Passives
from almost 20 billion pesos to less than 12 thousand, and the reserves add up to 111 billion. The issue
it is with the 29 debtor state governments. The debt is divided into three: 7 thousand 200 million pesos correspond to health services, improvement of infrastructure and purchase of supplies or medical equipment. Follows the accumulated debt in the individual accounts of Fovissste for 2 thousand 500 million. And, finally, the contributions to Pensionissste for 58 billion.
10 billion pesos have been negotiated with 11 states – for 15 years – 10 billion pesos: Baja California Sur, Colima, Chiapas, Nayarit, Oaxaca, the municipality of Cozumel-Quintana Roo and San Luis Potosí, among others. We want
continue facilitating agreements and not resort to the Ministry of Finance to to hold back
contributions to dependencies. The deficit in Superissste –which lasted 10 years– is today a surplus of 88 million pesos, while in Turissste the surplus amounts to 56 million.
Ramírez stated that the Institute works
with the Mexican Institute of Social Security (IMSS) an agreement for the exchange of services that buries the privatization of the subrogated service
in rural areas and that led to hiring private doctors. He bet on go down
in general, that subrogation to private companies –with an annual cost of 8 billion pesos– because the State must retrieve
the leadership of the system and because she does not forever
benefits the rights in quality
Y efficiency
, he emphasized. And it is that the Issste is a reflection
of what was happening with Pemex and the CFE, in which investment was stopped to privilege
the private service. I know I had
the intention that the Institute be closing
medical units to transfer the service to private.
That’s why
reserves were not used, which today
add up to 111 billion pesos ( Reform, 11/8/21). The purpose
is to take advantage of the capabilities of IMSS and vice versa
. Instead of hiring private companies, hiring to the
IMSS. it works by
the universality of services.
Simultaneously, he detailed, the federal authorities sought to increase the exchange of services between Ssa-IMSS, Sedena and Semar to take advantage of personnel and infrastructure, as was done with covid-19 and reduce costs ( Reform10/5/21).
During the pandemic, the Health Institute for Well-being (Insabi) hired 4,300 doctors, and 14,000 workers hired for substitutions or fees must be basified. After serving 90,000 patients with covid-19, the great challenge is to reopen the services to the entitled ( The Sun of Mexico9/9/21).
There was also the pending age of the medical units: more than a third of the first level units are over 50 years old, and the same is true of 14 of the 26 general hospitals. Thirteen entities do not have second level hospitals. According to Ramírez, in Quintana Roo, San Luis Potosí, Durango, Oaxaca and Tamaulipas there were more than 600 units in conditions that require almost throw them away and build them again
( the day6/11/21).
Of course, in his vision, the Issste in the middle of the six-year term showed progress in the gets better
of the attention to the right holders, strengthened
preventive versus curative care assured
your financial stability.
* Xochimilco Metropolitan Autonomous University.
